title: [A case of Creutzfeldt-Jakob disease diagnosed with a combination of ER visit by the patient and a home visit by the physician].
abstract: In case of home care patient's health gets deteriorated, an admission is often requested due to a nursing care need rather than a medical need. However, it is often inevitable to transfer a patient to other nursing home, or to observe the patient at home, is caused by a limitation of medicalre sources and the capacity of the patient to adapt environmental changes. It may be criticized that a medical care of the elderly at home is left unattended as a consequence of the oversight of critical pathophysiologic changes. We have experienced a case diagnosed as Creutzfeldt-Jakob disease, which was not suspected at the initial visit of our ER unit. A grave hidden disease was recognized by next day's emergency visit and a follow-up elaboration examination at our hospital. Such cooperation may have a potency maintaining a home medical treatment level by grasping the precise pathophysiology of home elderly patients.
authors.affiliation: Kawasaki Total Care Center, Municipal Ida Hospital, City of Kawasaki.
authors.forename: Takashi
authors.initials: T
authors.lastname: Ando
authors.forename: Kyoko
authors.initials: K
authors.lastname: Sato
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ishiguro
authors.forename: Mayumi
authors.initials: M
authors.lastname: Karino
authors.forename: Chisako
authors.initials: C
authors.lastname: Ito
authors.forename: Toshihito
authors.initials: T
authors.lastname: Shinagawa
authors.forename: Masaki
authors.initials: M
authors.lastname: Takao
authors.forename: Tadashi
authors.initials: T
authors.lastname: Miyamori
mesh_terms: D000369:Aged, 80 and over; D007562:Creutzfeldt-Jakob Syndrome / Q000175:diagnosis*; D004636:Emergency Service, Hospital; D006699:Home Care Services; D006801:Humans; D008297:Male; D010348:Patient Care Team